| NPI | 1720539034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO APN.0992539-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1622514) |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2021-01-21 |